Health Source Wellness Center

LBN: Rr Medco Llc
Health Source Wellness Center is an health care organization with primary practice located at 100 E Sample Rd Ste 320 , Pompano Beach FL 33064-3554. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Rr Medco Llc can be contacted via phone (754) 264-7540, or through Di Iulio, Raymond via phone (754) 264-7540.

Contact Information

Primary practice address
100 E Sample Rd Ste 320 Pompano Beach FL 33064-3554
Phone: (754) 264-7540
Fax: (754) 222-9389
Website:
Map and Directions
Authorized official contact:
Name: Di Iulio, Raymond
Phone: (754) 264-7540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME53109

Profile Details

NPI number 1851762769
LBN Legal business name Rr Medco Llc
DBA Doing business as Health Source Wellness Center
Authorized official Di Iulio, Raymond
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2015
Last updated Feb 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851762769 NPPES
Other 2155098 PK

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